We applaud the President’s declaration that 2014 is a “year of action” when he will use executive powers and the regulatory process to ensure the health and well-being of Americans and end unnecessary health expenditures. As part of this process, we call on the President to take executive action on organ transplantation and initiate pilot studies on benefits to donors.

We call on HHS to develop the necessary regulatory process for conducting such studies and to implement them.

We call on the Attorney General to smooth the way for such pilot programs by recognizing that they are consistent with the intent of the National Organ Transplant Act.

Finally, we call on Congress to pass legislation that allocates the necessary funding for these programs and clears the way for their implementation.

Kidney disease has for too long been neglected by all branches of government. It is time to act.

Together with the long list of other signers, the letter has a lot of support from a diverse group of people, including many transplant professionals who I know and respect. It's a sign that the discussion is changing.